| NPI | 1689716177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON B HALL President Owner 801-302-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 3552091202) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |